Pseudotumour cerebri

Case contributed by A.Prof Frank Gaillard

Presentation

Headache, papilloedema and blurred vision.

Patient Data

Age: 50 Years
Gender: Female
Modality: MRI

No abnormal parenchymal signal. No hydrocephalus. No intracranial mass or haemorrhage. No area of diffusion restriction. The sella is enlarged in its vertical dimension and predominantly fluid filled. Pituitary tissue appears flattened on the floor, with the stalk in a posterior position. Optic chiasm outlines normally. 

No venous sinus thrombosis identified. Both transverse sinuses are narrowed at the mid segments, with normal calibre reconstituted distal to veins of Labbe.

CONCLUSION: 

In this clinical setting, these findings are those of benign intracranial hypertension (pseudotumour cerebri).

 

Case Discussion

This case has typical clinical presentation and imaging appearances of idiopathic intracranial hypertension (pseudotumor cerebri) 

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Case Information

rID: 42783
Case created: 8th Feb 2016
Last edited: 10th Feb 2016
Inclusion in quiz mode: Included

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